颅底脊索瘤的全基因组测序揭示了与复发和脊索瘤特异性生存相关的基因组改变。

Whole genome sequencing of skull-base chordoma reveals genomic alterations associated with recurrence and chordoma-specific survival.

机构信息

Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

出版信息

Nat Commun. 2021 Feb 3;12(1):757. doi: 10.1038/s41467-021-21026-5.

Abstract

Chordoma is a rare bone tumor with an unknown etiology and high recurrence rate. Here we conduct whole genome sequencing of 80 skull-base chordomas and identify PBRM1, a SWI/SNF (SWItch/Sucrose Non-Fermentable) complex subunit gene, as a significantly mutated driver gene. Genomic alterations in PBRM1 (12.5%) and homozygous deletions of the CDKN2A/2B locus are the most prevalent events. The combination of PBRM1 alterations and the chromosome 22q deletion, which involves another SWI/SNF gene (SMARCB1), shows strong associations with poor chordoma-specific survival (Hazard ratio [HR] = 10.55, 95% confidence interval [CI] = 2.81-39.64, p = 0.001) and recurrence-free survival (HR = 4.30, 95% CI = 2.34-7.91, p = 2.77 × 10). Despite the low mutation rate, extensive somatic copy number alterations frequently occur, most of which are clonal and showed highly concordant profiles between paired primary and recurrence/metastasis samples, indicating their importance in chordoma initiation. In this work, our findings provide important biological and clinical insights into skull-base chordoma.

摘要

软骨肉瘤是一种罕见的骨肿瘤,其病因不明,复发率高。在这里,我们对 80 例颅底软骨肉瘤进行了全基因组测序,鉴定出 PBRM1 是一个明显突变的驱动基因,它是 SWI/SNF(Switch/Sucrose Non-Fermentable)复合物亚基基因。PBRM1 中的基因组改变(12.5%)和 CDKN2A/2B 基因座的纯合缺失是最常见的事件。PBRM1 改变与染色体 22q 缺失的结合,涉及另一个 SWI/SNF 基因(SMARCB1),与软骨肉瘤特异性生存(风险比[HR] = 10.55,95%置信区间[CI] = 2.81-39.64,p = 0.001)和无复发生存(HR = 4.30,95% CI = 2.34-7.91,p = 2.77×10)不良有很强的关联。尽管突变率较低,但经常发生广泛的体细胞拷贝数改变,其中大多数是克隆性的,在配对的原发和复发/转移样本之间显示出高度一致的图谱,表明它们在软骨肉瘤的发生中具有重要意义。在这项工作中,我们的发现为颅底软骨肉瘤提供了重要的生物学和临床见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/245b/7859411/083853326aa2/41467_2021_21026_Fig1_HTML.jpg

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